AUA 2017: A prospective study on the impact of radical cystectomy on sexual function in females with bladder cancer

Boston, MA ( Dr. Marzouk presented on the health-related quality of life as it relates to female sexual function after radical cystectomy. The objective of this study was to prospectively report baseline and postoperative sexual function in female patients undergoing radical cystectomy. They found through using the Female Sexual Function Index 65% of patients had no sexual function prior to cystectomy. The majority of patients underwent vaginal reconstruction. Less than one-fifth reported adequate sexual functioning prior to surgery. Of these patients who reported adequate sexual function prior to surgery, 44% maintained adequate sexual function after radical cystectomy. Being married was significantly associated with sexual function after surgery (p<0.001).

This study is important in its conclusion that enhanced counseling can be done with better understanding of patient reported outcomes. The amount of no sexual function in women at baseline seems much higher than in men of the same age group. It is important for urologists to also be aware of the rates of baseline lack of sexual function in this patient group. These finding help understand the different priorities of patients undergoing cystectomy and how they may differ by gender.

Presented By: Karim Marzouk, MD

Written By: Janet Baack Kukreja (@janetkukreja), MD, MPH, Urologic Oncology Fellow, Department of Urology, UT MD Anderson Cancer Center, Houston, TX, Ashish M. Kamat, MD, MBBS, FACS, Wayne B. Duddlesten Professor, Department of Urology, UT MD Anderson Cancer Center, Houston TX

at the 2017 AUA Annual Meeting - May 12 - 16, 2017 – Boston, Massachusetts, USA